Provider Demographics
NPI:1629567078
Name:RAYMOND, DARIUS D (BSW)
Entity Type:Individual
Prefix:MR
First Name:DARIUS
Middle Name:D
Last Name:RAYMOND
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2449 MANHATTAN BLVD
Mailing Address - Street 2:SUITE301
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058
Mailing Address - Country:US
Mailing Address - Phone:504-309-4628
Mailing Address - Fax:504-309-4647
Practice Address - Street 1:7921 BULLARD AVE STE 2C
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-1186
Practice Address - Country:US
Practice Address - Phone:504-373-9626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool